NPI | 1013451467 |
---|---|
Entity Type | Organization |
Authorized Contact | LIKA PORTNAYA President 917-392-1851 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 020488) |
Enumeration Date | 2016-12-05 |
Last Update Date | 2016-12-05 |